Individual
MARISSA GERE CUSAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 42ND ST NW, WASHINGTON, DC 20016-4623
(202) 450-1429
Mailing address
5025 ROYAL BIRKDALE AVE, WALDORF, MD 20602-5186
(301) 861-6234
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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